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Text File  |  1997-04-01  |  4KB  |  105 lines
  1. FastEcho Order Form
  2. -------------------------
  3. For Australia/New Zealand
  4.  
  5.        Aquarius Communications
  6.        P.O. Box  4772, SYDNEY NSW 2001 Australia
  7.        Phone: 041-1174-014   Fax/BBS: (02) 9948-9122
  8.        registrations@aquarius.com.au
  9.        ----------------------------------------------------
  10.  
  11. To Register FastEcho you may choose from the following methods.
  12.  
  13. 1. Mail the Registration Form and Payment to:  
  14.     
  15.     Aquarius Communications,
  16.     PO Box 4772,
  17.     SYDNEY   NSW   2001
  18.  
  19.   Personal cheques will require 5 working days clearance so be patient.    
  20.  
  21. 2. Register Online via the Internet and using your Credit Card.
  22.  
  23.     www.aquarius.com.au
  24.  
  25. 3. Call 041-1174-014 between 9am and 5pm and register over the telephone
  26.      using your Credit Card.   (VISA, MasterCard and Bankcard Accepted).
  27.  
  28. 4. If you are a member of FidoNet or SIGnet you can CRASH MAIL your order
  29.    with your Credit Card details completed to: 3:714/930@fidonet or 28:2500/100@signet.
  30.  
  31. FastEcho Order Form
  32. ------------------
  33.  
  34. Customer Details:
  35.  -----------------
  36.  
  37. Full Name:  ____________________________________________________________
  38.  
  39.  Company:  ____________________________________________________________
  40.  
  41.   Address:  ____________________________________________________________
  42.                  ____________________________________________________________
  43.                  ____________________________________________________________
  44.  
  45.   Telephone:  _(____)____________                Fax:  _(____)____________
  46.   Modem/BBS:  _(____)____________
  47.  
  48.   BBS Name:  ____________________________________________________________
  49.  
  50.   FidoNet Address: __:____/____.____      SIGnet Address: __:____/____.____
  51.  
  52. -- -- -- --
  53.  
  54. Mailer Program:  [  ] FrontDoor   [  ] D'Bridge  [  ] BinkleyTerm  
  55.                            [  ] Other _______________________
  56.  
  57. BBS Program: ______________________________________________
  58.  
  59. What Tosser were you using before using FastEcho?: _______________________
  60.  
  61. Comments:    ____________________________________________________
  62.  
  63.                      ____________________________________________________
  64.     
  65. Please select appropriate product:
  66. ----------------------------------
  67. [  ] Key(s) for FastEcho POINT AUD $ 25.00                         $ ______
  68.  
  69. [  ] Key(s) for FastEcho NODE  AUD $ 45.00                         $ ______
  70.  
  71. [  ] Key(s) for FastEcho UPGRADE (POINT TO NODE)
  72.      AUD$ 20.00    
  73.      Number of existing POINT Key: _____________               $ ______
  74.  
  75. [  ] Send key(s) ON DISK, add AUD$ 5.00                            $ ______
  76.  
  77. If paying by Credit Card add                  $      1.00
  78.                          ========
  79.  
  80.                                                                                        Total $ _______
  81.                                                                    
  82. How would you like the key delivered:
  83. -------------------------------------
  84.  
  85. [  ] Post the key(s) ON DISK ($5.00 service charge applies).
  86. [  ] CRASH the key(s) to your FidoNet or SIGnet address.
  87. [  ] Send key to my internet adress which is:
  88.  
  89.    Payment: (Please Complete - NB: Cheques subject to 5 days clearance)
  90.    -------------------------------------------------------------
  91.  
  92.     Choose one:  [ ] Personal/Business Cheque      [ ] Money Order
  93.                          [ ] VISA                 [ ] MasterCard                    [ ] BankCard
  94.  
  95.      NOTE: Please make Cheques payable to Aquarius Communications
  96.  
  97.        Card Holder Name: ___________________________________
  98.  
  99.        Card Number: __________ - __________ - __________ - __________
  100.  
  101.        Expiry Date: ______ / ______
  102.  
  103.       Signature: ___________________________________
  104.  
  105.